Medicare Advantage Pre-Enrollment Checklist

Before you enroll in a Medicare Advantage plan, you have some work to do. To help, we’ve created this simple checklist. Before making an enrollment decision, it is important that you fully understand our benefits and rules. If you have any questions, you can call and speak to a Licensed Sales Agent at 833-997-0765 (TTY: 711) .

 

Checklist Icon Understanding the benefits

  • The Evidence of Coverage (EOC) provides a complete list of all coverage and services. It is important to review plan coverage, costs, and benefits before you enroll. Visit carefirst.com/medicareadvantage or call 855-290-5744 (TTY: 711) to view a copy of the EOC.
  • Review the provider directory (or ask your doctor) to make sure the doctors you see now are in the network. If they are not listed, it means you will likely have to select a new doctor.
  • Review the pharmacy directory to make sure the pharmacy you use for any prescription medicine is in the network. If the pharmacy is not listed, you will likely have to select a new pharmacy for your prescriptions.
  • Review the formulary to make sure your drugs are covered.
 

Checklist Icon Understanding important rules

  • In addition to your monthly plan premium you must continue to pay your Medicare Part B premium. This premium is normally taken out of your Social Security check each month.
  • Benefits, premiums and/or copayments/coinsurance may change on January 1, 2024.
  • Except in emergency or urgent situations, we do not cover services by out-of-network providers (doctors who are not listed in the provider directory).
  • Effect on Current Coverage. If you are currently enrolled in a Medicare Advantage plan, your current Medicare Advantage healthcare coverage will end once your new Medicare Advantage coverage starts. If you have Tricare, your coverage may be affected once your new Medicare Advantage coverage starts. Please contact Tricare for more information. If you have a Medigap plan, once your Medicare Advantage coverage starts, you may want to drop your Medigap policy because you will be paying for coverage you cannot use.